Organization Active NPI

The Lasik Vision Institute LLC

  • Optometrist
  • Oakbrook Terrace, IL
National Provider Identifier
1184765802
Registry record updated Apr 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
Legal business name
THE LASIK VISION INSTITUTE LLC
Practice address
1 Mid America PLZ
Suite 200
Oakbrook Terrace, IL 60181-4450
Phone
(630) 684-0137
Fax
(706) 243-4623
NPI assigned
Feb 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Ben Cook
Title
Coo
Phone
(561) 965-9110

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
OptometristGroup: 193400000X SINGLE SPECIALTY GROUP 152W00000X Primary

Addresses

Primary practice location

1 Mid America PLZ
Suite 200
Oakbrook Terrace, IL 60181-4450

Mailing address

2000 Palm Beach Lakes Blvd
Ste 800
West Palm Beach, FL 33409-6503
Phone (561) 965-9110

National Provider Directory

National Provider Directory
Tax ID family
The Lasik Vision Institute LLC66 organizations share this tax ID, including this one

Locations

1 Mid America Plz
Ste 200
Oakbrook Terrace, IL 60181
Phone (630) 684-0137

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1184765802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PALM BEACH LAKES BLVD",
            "address_2": "STE 800",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334096503",
            "telephone_number": "561-965-9110",
            "fax_number": "706-243-4627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MID AMERICA PLZ",
            "address_2": "SUITE 200",
            "city": "OAKBROOK TERRACE",
            "state": "IL",
            "postal_code": "601814450",
            "telephone_number": "630-684-0137",
            "fax_number": "706-243-4623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LASIK VISION INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-08",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "BEN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "561-965-9110",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Optometrist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakbrook Terrace, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.